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Boutonniere deformity, also called buttonhole deformity, can happen due to rheumatoid arthritis. The middle finger joint will bend toward the palm while the outer finger joint may bend opposite the palm. It may be the result of chronic inflammation of the finger's middle joint. Treatment may include splinting to keep the middle joint extended.
Follow these simple steps: 1  Wet your hands with running water â either warm or cold. 2  Apply liquid, bar or powder soap. 3  Lather well. 4  Rub your hands vigorously for at least 20 seconds. 5  Remember to scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails. 6  Rinse well.